Farrow and ball paint skimming stone
Skimming Stone (241) | Farrow & Ball
9"x14.75" sample size
Buy 10 samples, pay only for 8
NOTE: Please bear with us while we transition to a larger size. Orders may contain 9"x12" or 9"x14.75".
$ 7.95
Buy 10 samples, pay only for 8
Real paint without the mess. See the paint color in multiple locations and different lighting without marking up your walls.
NOTE: Please bear with us while we transition to a larger size. Orders may contain 9"x12" or 9"x14.75".
Peel, stick, and repeat to find your perfect match
Peel-and-stick samples are painted by hand with two coats of real paint, guaranteeing 100% color accuracy and zero mess. Each easy-to-peel sample includes one large and two minis, perfect for comparing palettes, adding to your mood board, and living with the hue before you—or your clients—commit.
Incredibly versatile
Experiment in a variety of locations. The specially formulated non-damaging adhesive is repositionable and can even wrap around corners to show contrast between walls.
- Wraps around corners
- No-damage adhesive backing
- Repositionable many times
How it works
Select colors from your favorite brands.
Get your samples delivered the next day.
Peel, stick, and repeat to find your perfect match.
Explore Similar Shades
$ 5.95
Benjamin Moore OC-17
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- 4. 9 (6446 reviews)
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Quick shipment, nice large paint samples to stick on walls.
David Carter
Great and painless way to explore painting options for your walls
Marge Bond Grossman
Wow! This is a brilliant service. Exceeded my expectations, and I will be ordering more! The only way to go.
Lesli Bonanni
Quick shipping and quality samples
Julie Ilic
Easy to use and nice big samples!
Jennifer Hill
easy to peel and stick in different areas of the room
Francie Hamilton
Fast delivery and perfect samples.
Thank you!Tammie W.
Speedy delivery. Received product in only one day via FedEx! It’s a great, economical way to sample different paint colors for walls before investing in expensive gallons of paint. Highly recommend!
Michelle Faivre Brearley
What a great idea! No fuss, no mess and no extra paint! Thank you!
Christie Gaynor
It is nice to see a big sample and it came in 2 days
Sharon Williams Gregory
Love these! The colors are beautiful and the samples are BIG! Helped me so much in picking colors for our new house.
Millann Funk
Super fast delivery, great execution to being able to sample paint colors!
Allison Taylor
Amazing product and fast service.
Teryl Hampton
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Gary Uhlman Sr
Great selection and overnight shipping. Thank you!
Fermina Phillips
Love that I can stick it to one location for a week to see it in different lighting (day vs night) and then can move it to another location (upper cupboard vs lower) and recheck it!
Susie Davis
I have had such great success with orders I've placed. The samples arrive promptly via Fed Ex and the website is so easy to navigate.
Karrie Willis
Lack of waste and clarity/“truth” of color.
Melanie May
Genius idea! Could not have been simpler to get large paint samples the next day!!
Kelley DeMello
Excellent product. Really easy to use and a great help when trying to decide on paint samples. Just peel and stick to the wall.
Mike Magruder
The sheets are a great size…you can really see how a color will be in a room. Highly recommend.
Elsbeth Wyatt
It has helped me make a paint decision several times. It’s amazing how the big sizes paint swatches help make all the difference in seeing how the lighting effects the color. You can’t tell that from the small paint swatches in a normal paint swatch.
Rachel Boeglin
fast delivery and large samples!
Susan Coonan
Love the paint samples for our new house!
Melissa Griffen
How great it is to get true to life color and in large swatches. Then you add that it’s a sticker that you can relocate around a room to really get an idea how the color shows throughout the day. We haven’t even mentioned the cost savings and space savings of not having a bunch of half empty sampl...
Dorothy Hott
So much easier and cheaper than buying paint.
Lisa East
Awesome product! Very helpful in deciding paint colors
Toni Mason
fast shipping and was exact what I needed
Serena Hashmi Novosel
Great Benjamin Moore paint samples! Easy to stick on a wall, peel off and move from room to room! No more sample pots and mess! Love these stick one sheets.
Denise Arnold
Super fast shipping. Generous sizing with additional smaller samples. Easy to apply and move. Way easier than buying multiple paint samples!!
Stacey Nedrow-Wigmore
These samples make all the difference when trying to coordinate.
Joe Lento
Prompt service. Good product.
Beverly Evans Stiles
Just what I needed!
carol mendez
Very helpful and fast in deciding colors! I was leaning towards one color, but completely changed my mind once we put the samples on the wall! And the fast shipping saves way more time than trying to paint a sample on the wall.
Angela Chiaro
Best product ever.
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Salihu H Wakili
Super fast delivery! The samples are of great quality and so much easier than to use paint sample!
ingrid bregand
This service is a miracle! We got the samples in about 12 hrs if you can even believe it! Just in time to pull our new kitchen design together with paint colors selected and all.
I've hated buying all those pints of paint and helping to ruin the environment with my indecision and drive for a dozen s...Nikkie Dupre Achartz
Came SO fast - love my samples!
Brooke Ricks
easy fast and so much cheaper and easier than dealing with actual paint
Mary Ring
fast and easy
Glenn Smith
Awesome!!! Ordered one day and got them the next day!!! Yay! I will be ordering more very soon...great service and a feel good company that goes beyond. Thank you!
Erin Miller
Fast shipping, and great size to see the color on the wall!
Jordan Parker
The fast service is fantastic.
The samples are a really nice size to help choose the right colorKelly Hogan-Apo
Samples are perfect for decision process. They confirmed what we hoped would be the right colors.
Michaela Brady
- 4.9 (6446 reviews)
- 4.8 (1302 reviews)
$ 7.95
Skimming Stone Farrow and Ball
It’s never as easy as you think to find the paint shade you have in your mind’s eye is it? I recently decided to give my house a paint refresh. I wanted to find a warm, neutral grey that would contrast nicely with white. Far too many tester pots later, my walls were blotchy and I was more confused if anything.
Discover Skimming Stone Farrow and Ball paint – the perfect pale milky grey with warm stone undertones.
It’s so true that you can find the exact colour you’re looking for when you look at in one corner of your home and then, when you try it in another corner, where the light is different, you often find yourself looking at a totally different shade.
Skimming Stone is a milky grey off-white neutral with warm stone undertones
Having driven myself slightly demented with tester blotches in all the different light conditions, I finally narrowed everything down and arrived at a decision. The element to make it onto my new soft, natural palette is Skimming Stone Farrow and Ball paint. It has a milky quality that I love. I have low ceilings and small windows in my old Hampshire cottage and all of the cooler greys felt too dark and gloomy. Because of its warm stone, almost pinky undertones, Skimming Stone feels so much more cheerful, whilst still definitely sitting comfortably among the greys. The other reason Skimming Stone will work so well in my cottage is that I have both grey slate floors and old dark brown wooden floorboards. Skimming Stone works beautifully with both, providing a colour bridge between the warm brown and cool grey.
I’ve put together a moodboard of how I’m seeing my new colour scheme coming together. I’m loving the idea of bringing in textural linens and ceramics as well as soft pink terracotta and fresh whites. It’s such an uplifting yet still very understated colour scheme don’t you think?
Skimming Stone Farrow and Ball moodboard
Featured in my moodboard: Plant pots from The Future Kept; textural linens from Peony & Sage; farm flowers from The Real Flower Company; Linen apron from Swedish House at Home; Teapot from Pottery West.
Buy Farrow and Ball paint online
Skimming Stone Farrow and Ball paint
BUY SKIMMING STONE PAINT NOW
Elephant’s Breath Farrow and Ball paint
BUY ELEPHANT’S BREATH PAINT NOW
Strong White Farrow and Ball paint
BUY STRONG WHITE PAINT NOW
Skimming Stone Farrow and Ball paint
Skimming Stone goes well with…
Elephant’s Breath (a mid grey with a hint of magenta created by John Fowler, the notable English interior designer) and Strong White (a cool white with light grey undertones). I’ve added both shades to my moodboard and really like how they work on there…
Other blog posts you might enjoy if you’re into creative home decoration:
How to decorate with Pantone Colour of the Year 2019 ‘Living Coral’
The perfect antidote to the ubiquitous grey shades we’ve surrounded ourselves with in recent years, Living Coral is a sunshiney, happy colour and I’ve shared some creative ways to bring it into your home, including paint mixing with Annie Sloan, Wallpaper ideas and beautiful accessories.
Love Modern Rustic interiors
I love relaxed, simply beautiful modern rustic interiors and I’ve shared some inspiring ideas and tips for getting the look in your own home.
How to decorate with green paint colours
How to decorate with green paint colours Discover the new Green paint colours by Little Greene in collaboration with the National Trust and also some beautiful olive green paints by Annie Sloan
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Treatment of gallbladder stones? | Vaidam Zdorovye
What are gallbladder stones?
Gallbladder stones or cholelithiasis (gallstones) are hard deposits of digestive fluids (stones or lumps) that form in the gallbladder or bile duct.
The gallbladder contains chemicals such as cholesterol, calcium bilirubinate, and calcium carbonate, which hardens into either one large stone or several small ones. nine0005
Gallstones can range in size from the size of sand to the size of a golf ball. These stones can turn into one large gallstone, hundreds of tiny stones, or both small and large stones. Gallbladder attacks or biliary colic: Gallstones cause sudden pain in the upper right abdomen that occurs when gallstones block the bile ducts. This sudden pain is called a gallbladder attack or biliary colic. nine0005
Phone number*
Medical problem *
Overview of the gallbladder
The gallbladder is a small, pear-shaped organ located in the upper right side of the abdomen—between the chest and thighs—below the liver. The liver produces bile (bile), a greenish-brown fluid that accumulates and concentrates in the gallbladder. The bile then enters the small intestine through the bile ducts to facilitate digestion, mainly of fats. Whenever we eat something, bile is released into the intestines. The bile duct is a narrow tube. nine0005
Types of gallstones
When there is an imbalance of chemicals in the gallbladder, cholesterol, calcium bilirubinate and calcium carbonate, gallstones can form. Gall stones have three types:
- Cholesterol stones : These are the most common (about 75%-80%). They are usually yellow-green in color and are formed by hardened cholesterol.
- Pigmented stones : They form when calcium crystallizes with excess bilirubin. They are black and brown in color. nine0042
- Mixed stones : They are a combination of cholesterol and pigmented stones.
Learn more:
- Best Gastroenterologists in India
- Best Gastroenterology Hospitals in India
What are the causes of gallbladder stones?
Most gallstones are made up of cholesterol, a type of fat that is made in the liver and is obtained from certain foods. In addition, there are many different factors that can cause gallstones. They can form when:
- Excess cholesterol is released by the liver, which can cause supersaturation of cholesterol in bile
- Cholesterol remains undissolved in bile due to lack of bile salts
- Other substances present in bile can cause crystallization of cholesterol
- Bile is concentrated due to incomplete or improper emptying of the gallbladder
Who is at risk?
They have few people who are at higher risk of getting gallstones, including:
Symptoms Gall Stones
Most patients with gallstones have no symptoms. They only experience pain if a gallstone blocks one of their bile ducts. In this case, they will experience sudden mild to severe abdominal pain, which is called biliary colic.
Pain is most often felt in the area between the shoulder blades, the back, the sides of the body, or the upper right or middle abdomen. The patient experiences pain mainly at night. Other serious symptoms may develop if the blockage is severe, lasts longer, or develops in another part of the digestive system (such as the small intestine or pancreas). They include:
Diagnostics
- Ultrasound transabdominal
- X -ray
- Blood and urine test
- Image testing, which can be used to diagnose gallbladder stones:
- 900
- Cholescontigraphy (also called DISIDA, HIDA scan, or gallbladder radionuclide scan)
Gallbladder stone treatment
Generally no treatment is required if the patient is asymptomatic. If the patient suffers from biliary colic or has any other symptom, then only treatment is required. A commonly used treatment option for gallstones is surgical removal of the gallbladder. If a person cannot undergo surgery, non-surgical treatments may be used to dissolve cholesterol gallstones. For symptomatic cases, three main treatment options are available:
- Wait and see
- Non-surgical removal
- Surgical removal
Wait and see
There are several cases where the stone dissolves or is expelled and thus continues its "silence". Because the problem can resolve on its own without any intervention, many clinicians go on a wait-and-see basis after the initial episode.
Non-surgical treatment
If the patient has mild and infrequent episodes of abdominal pain (biliary colic), pain medication will be prescribed to control any further episodes. The patient will be advised to eat a healthy diet to help control the pain. In some cases, gallstones can also be treated with medication. nine0005
- Oral bile tablets : Are medicines capable of dissolving gallstones by diluting bile. They contain the chemicals ursodeoxycholic or chenodiol, which help in dissolving gallstones.
- Dissolution Contact Therapy: This is also a non-surgical treatment that involves injecting a solvent known as methyl tertiary butyl ether (MTBE) into the gallbladder to dissolve gallstones.
- Percutaneous cholecystectomy: This procedure involves using a needle to remove fluid from the gallbladder and then inserting a catheter through the skin to drain the fluid. This catheter is then left in place for several weeks, after which the gallbladder is surgically removed to prevent recurrence. This treatment option is usually reserved for patients with severe disease who cannot tolerate surgery right away.
Surgical removal
If the patient has severe gallbladder symptoms that occur frequently, surgery to remove gallstones is recommended. This surgical procedure is known as a cholecystectomy and is performed using a laparoscope and a miniature video camera. The process is minimally invasive, after the procedure the patient is allowed to go home.
The gallbladder is not a very important organ of the human body, therefore, after its removal, the quality of life of the patient does not occur. After removal of the gallbladder, bile flows out of the liver through the hepatic and common bile ducts and passes directly into the duodenum rather than being stored in the gallbladder. nine0005
Two types of cholecystectomy can be performed:
Laparoscopic cholecystectomy or keyhole surgery: In this procedure, several tiny incisions are made in the patient's abdomen and a laparoscope (a thin tube with a tiny video camera attached to it end). After that, the abdomen is temporarily inflated with carbon dioxide (this gas is harmless and allows the doctor to easily examine the organs). The camera helps display an enlarged image of the inside of the body on a video monitor, providing a larger and clearer view of organs and tissues. Looking at a monitor and using instruments, the gallbladder is carefully separated from the liver, bile ducts, and other structures. The gallbladder is then removed through one of the small incisions. After removal of the gallbladder, the gas in the abdominal cavity is allowed to exit through the laparoscope, the cuts are sutured, and bandages are applied. nine0005
This procedure is performed under general anesthesia. The procedure takes about 60-90 minutes and the patient is discharged the same day. It usually takes about 10 days for a full recovery.
Benefits
- Fast recovery
- Procedure involves only four small openings in the abdomen than a 5-7 inch incision made in open surgery (less invasive procedure)
- Minimal postoperative pain
- Shorter hospital stay (hours to overnight)
Open cholecystectomy: In this procedure, a 4 to 6 inch incision is made just below the ribs on the right side and continues to the waist. The procedure is performed under general anesthesia. The procedure usually requires hospitalization for 5-6 days. He has a longer recovery period and takes almost six weeks to recover.
Open cholecystectomy is performed when laparoscopic cholecystectomy is not recommended, in the following cases:
- The patient is in the third trimester of pregnancy (last three months) of pregnancy
- The person is overweight
- Have an unusual gallbladder or bile duct structure that makes the keyhole procedure difficult and potentially dangerous.
- Gallbladder severely inflamed, infected or damaged from other operations
Complications of gallbladder stone surgery
Like any other abdominal surgery, laparoscopic cholecystectomy also carries certain risks. Although the risk is rare, it still carries the same risks as general surgery. Complications include:
- Temporary changes in bowel habits.
- Possible bleeding and infection.
- Sometimes the gallbladder cannot be removed by laparoscopy, in which case open abdominal surgery must be performed immediately.
- Nausea and vomiting may occur after surgery.
- Injury to the bile ducts, blood vessels, or intestines may occur, requiring corrective surgery.
- Occasionally, bile leakage may occur in the abdomen.
- Pneumonia, blood clots, heart problems may also occur.
Diet after removal of the gallbladder
After removal of the gallbladder, the patient must carefully monitor his diet. This will help the patient adjust to the changes in the new digestion with less discomfort. After meals, the following rules should be observed:
- Eat smaller, more frequent meals
- Low-fat foods
- Foods high in fiber and gas should be started slowly
- Caffeinated drinks and dairy products are difficult to digest and therefore should be avoided
- Direct products should be introduced slowly
Find out more about world class hospitals in different countries:
- Top hospitals in India
2
- The best hospitals in Thailand
- The best hospitals in the UAE
How to deal with constipation in a child?
08/15/17
Guide for parents on a problem that is very common in children with autism
Source: autism Speaks
The symptoms of chronic constipation include:
- a very solid and dense chair.
- Pain and difficulty in emptying the bowels.
- The child has a bowel movement three times a week or less.
Talk to your child's doctor to find out if your child is constipated. nine0005
What causes constipation in children with autism?
1. Holding a stool
Some children try to hold a stool and ignore the urge to have a bowel movement. This can happen for various reasons, for example:
- Fear of the toilet.
- Reluctance to use the toilet outside the home.
- Unwillingness to interrupt the game.
- Fear of pain during bowel movements.
2. Toilet training
Children may resist and hold on to stool when they are being toilet trained. This can become a habit that is difficult to break later on.
3. Nutrition problems
- Lack of fiber found in fruits, vegetables and whole grains.
- Dairy products, if the child is allergic to cow's milk or consumes too much dairy products.
- Insufficient intake of water and other beverages, especially when ill. nine0005
- Changes in appetite or diet due to illness of the child.
4. Stress and changes in daily routine.
Travel, weather changes, and stress can all affect bowel function.
5. Medications
Some medications, such as antacids, antidepressants, and some attention-deficit/hyperactivity disorder medications, can cause stools that are too hard.
6. Associated medical problems.
Constipation is common in children who have movement problems, including decreased muscle tone and cerebral palsy. Also, constipation is possible in case of hypersensitivity to gluten or casein.
Acute constipation and encopresis
Acute constipation
Some (but not all) children with chronic constipation may have this problem. Acute constipation can be caused by too much hard stool in the colon. As a result, the child cannot have a bowel movement for several days. Acute constipation is diagnosed by a doctor by palpation of the abdomen or by X-ray. Acute constipation is often accompanied by loss of appetite and lethargy. After a bowel movement, the child feels better and the symptoms decrease. nine0005
Encoprese
This problem occurs in some (but not all) constipated children. Encopresis means that during constipation, the child has loose stools. This is a common problem.
Encopresis can develop if a child holds a stool for so long that it becomes difficult for him to have a bowel movement. The stool becomes larger and drier. Due to the retention of large stools, the intestinal muscles get tired and relax. After the muscles relax, loose stools can seep into the underwear. nine0005
The child does not feel that this is happening and cannot control loose stools. This usually happens several times a day, causing the underwear to become dirty. Sometimes encopresis is confused with diarrhea, but the child does not actually have diarrhea because most of the stool in the intestines remains solid.
Many children with encopresis experience loss of appetite and decreased interest in daily activities. After a bowel movement, the child feels better and these symptoms decrease. nine0005
Treatment of constipation
There are three main approaches to the treatment of constipation.
Talk to your child's doctor about which type of treatment is best for you:
1. Dietary changes
- Increasing the amount of fiber in your diet will make bowel movements easier.
- Increasing fluid intake , especially water and juice, helps soften stools and reduces the chance of constipation.
2. Behavioral changes
- Regular exercise . Physical activity improves the functioning of the abdominal muscles, which facilitates bowel movements. Regular exercise, including walking, jumping rope, ball games, cycling and swimming, can help with constipation.
- Bowel training in the toilet . It is important that the child knows how to use the toilet at the first urge. The best way to teach this is through planned and extended "sit-downs" where the child is rewarded for simply sitting on the toilet for extended periods of time. nine0005
3. Medications
Children often need medication to have regular bowel movements. These can be:
- Preparations for daily use.
- Single-dose preparations that "cleanse" the intestines in case of severe difficulty with emptying.
Increasing fiber in the child's diet
A diet high in fiber promotes regular bowel movements and prevents constipation. Fiber is a substance that the body cannot digest. There are two types of fiber - soluble and insoluble. Soluble fiber promotes the entry of water into the intestines. Insoluble fiber facilitates the passage of stool through the intestines. Both types of fiber are needed to prevent constipation. nine0005
Fiber is an important part of a healthy diet. A lot of fiber is found in foods such as fruits, vegetables, whole grains, legumes, nuts, and seeds. They also contain a lot of protein, vitamins and minerals. A diet high in these foods is the best way to get enough fiber.
Where to find fiber
When shopping for food, you can check the nutritional information of the product, including the fiber level. Good choices are foods that contain at least 2 grams of fiber per serving. nine0005
When shopping, look for products that contain whole grains, whole grain flour, and oatmeal. Perhaps there are options for your child's favorite foods with whole grains, that is, higher fiber content. For example, whole-grain cheese crackers, whole-grain wheat flour bread, and high-fiber cereals may be suitable for you.
Recommended Fiber Intakes
— Ages 1 to 3: 19 grams per day (for boys and girls). nine0005
- Ages 4 to 8: 25 grams per day (for boys and girls).
- Ages 9 to 13: 31 grams per day for boys and 26 grams per day for girls.
Examples of high fiber foods
- White beans: 9.5 grams per 1/2 cup.
- Oatmeal: 8.8 grams per 1/2 cup.
- Red beans: 8.2 grams per 1/2 cup.
- Beans: 7.5 grams per 1/2 cup.
- Pear (with skin): 4.3 grams per small pear. nine0005
- Raspberries: 4.0 grams per 1/2 cup.
- Baked potatoes (with skin): 3.8 grams per piece.
- Almonds: 3.3 grams per 30 grams.
- Apple (with skin): 3.3 grams per piece.
- Banana: 3.1 grams for one medium-sized piece.
- Orange: 3.1 grams per medium sized piece.
- Peanut butter: 3.0 grams per 2 tablespoons.
- Broccoli: 2.8 grams per 1/2 cup.
- Green peas: 2.5 grams per 1/2 cup. nine0005
- Avocado: 2.3 grams per 1/2 cup.
- Corn: 1.6 grams per 1/2 cup.
- Strawberries: 1.5 grams per 1/2 cup.
- Wild rice: 1.5 grams per 1/2 cup.
- Raisins: 1.4 grams per 1/2 cup.
- Popcorn: 1.2 grams per 1 cup.
Increasing fiber and fluid in the child's diet
It is advisable to offer children foods rich in fiber from an early age so that their use becomes a lifelong habit. nine0005
If your child is currently constipated, it is important to increase fiber levels very gradually over 2-3 weeks. Too much fiber in the diet can worsen constipation or cause gas, abdominal pain and diarrhea.
Increasing fiber will only be effective if the child also starts drinking more fluids. Make sure your child not only starts eating more fiber, but also starts drinking more water and juice. nine0005
How to Increase Fiber Without Child Resistance
Children with autism often resist change, especially dietary changes. Parents need to be patient and try different approaches, for example:
- Switch to crackers and whole grain pasta.
- Try whole grain bread and pizza. Many types of whole-grain bread do not differ in appearance from ordinary white bread.
- Offer your child whole grain muesli or popcorn as a snack. nine0005
— Offer the child dried fruit as a sweet treat (prunes, dried apricots, raisins).
- Try to make cocktails from frozen fruits or berries based on juice or milk.
- Offer your child carrot, bell pepper, or celery sticks to dip in peanut butter, hummus, or salad dressing.
— Add shredded vegetables or vegetable puree to your child's favorite meals, such as pasta or pizza. nine0005
- Make funny faces or figures out of slices of fruits and vegetables.
- Invite the child to dip fruit slices in nut butter or his favorite kind of yogurt.
— Bake cookies, muffins or pies with whole wheat flour.
Increasing fluid intake
Enough water is needed to keep the body healthy. It is found in both foods and drinks. As you increase the amount of fiber in your diet, you also need to increase your fluid intake. nine0005
How much fluid do you need?
- Follow your thirst. The amount of water a child needs varies depending on physical activity and what the child eats. Therefore, it is very important to monitor the signs of thirst in a child.
- When a child drinks enough water, his urine becomes clear, light yellow in color. Dark, tea-colored urine usually means your child needs to drink more.
Fluid types
1. Water: the best source of fluid. nine0005
2. 100% juice: good for health, but it should be limited.
- 120-180 ml per day for children under 6 years old
- 240-360 ml per day for children over 6 years old
- Some juices (pear, apple, plum) contain sugars that act as a natural laxative and may help with constipation.
3. Milk:
- An important part of a child's nutrition.
— Excessive consumption of milk can lead to constipation.
- Desirable rate for milk: 480-720 ml per day (2-3 cups).
4. Sports drinks and drinks with electrolytes:
- They often have added sugar.
- Not the best choice for children.
- Check with your doctor before giving these drinks to your child.
5. Fruit drinks, soft drinks:
- They usually have added sugar.
- Not the best choice for children.
- It is better to save them for special occasions, such as holidays, you should not give them to the child regularly. nine0005
Fluids and constipation
It is very important to increase fluid intake at the same time as increasing fiber. Fluid helps soften stools and make bowel movements easier.
- Some juices (pear, apple, plum) are natural laxatives.
— It is advisable to give the child a lot to drink between meals, this contributes to regular bowel movements.
- Drinks with a lot of sugar, caffeine, or "fortified with vitamins" can increase constipation. nine0005
Tips for increasing fluid intake
— Encourage your child to drink water between meals, on a full stomach the child may drink too little.
— Offer your child fruits with a high water content, such as grapes, oranges, or watermelon, as snacks and treats.
— Keep a bottle or cup of water handy so your child can always have a drink. Add some citrus juice to your water to make it taste better. Or try adding some other drink to the water. nine0005
- Lead by example. Children are more likely to drink water when they see their parents or siblings drinking water.
Toilet training
In case of constipation, it is very important to teach the child to use the toilet as soon as he feels the first urge. The easiest way to teach this is with a daily period of time when the child sits on the toilet for a long time. When a child gets used to sitting on the toilet for a long time, it will be easier for him to relax the muscles that hold the stool. With daily toilet seating time, your child will become less likely to hold a stool. When the child stops holding the stool, the intestines return to normal size and become more sensitive. nine0005
How to teach your child to sit on the toilet for a long time every day
1. Be patient with yourself and your child. Learning a new skill, especially this skill, is never easy.
2. Start by teaching your child to sit on the toilet, even if he does not defecate:
- Start with 1-2 minutes. Very slowly increase the time to 10-12 minutes.
- Use a visual timer to let your child know how long they need to sit.
- Offer the child some quiet activity while he sits on the toilet. For example, reading a book, drawing, playing a handheld computer game, listening to music or audio books.
- Try to save your child's favorite pastime for sitting on the toilet and do not offer it at other times.
- Praise your child even for small progress.
- Never force a child to sit on the toilet and never force him to sit on it unless you are working with a behavior specialist to help you do it safely. nine0005
3. Choose a time for your child to use the toilet.
— Making toilet use a regular part of a child's daily schedule will help develop a normal bowel habit.
— Children with autism often like routine. Making toilet seating a part of the daily routine will reduce the risk of child resistance.
- Try using a visual timetable with pictures, one of the items being toilet time. nine0005
— If your child is most likely to have a bowel movement at some time of the day, try to schedule toilet seating for that time.
— Morning is the best time for most people, but it may not be suitable for a child who will be rushed to kindergarten or school in the morning.
- For some children, the best time is after coming home from school or kindergarten.
4. Make sure your child is comfortable.
- Choose the toilet seat or potty that is most comfortable for your child. nine0005
- Use a child seat for the toilet if the normal seat is too big for the child.
- Use the footrest if the child's feet do not touch the floor.
How to teach a bowel movement in the toilet
1. Make sure your child sits on the toilet for long periods of time 1-2 times each day.
2. Teach your child that "poop goes down the toilet" by emptying dirty diapers or underwear.
3. Try to time your child to sit on the toilet when you think your child is most likely to have a stool. nine0005
4. Try to stimulate the gastrocolic reflex before sitting on the toilet. This reflex occurs after eating or drinking and allows the bowel muscles to expel stool after eating. To stimulate this reflex, try to get your child to eat or snack, and drink a warm drink before sitting on the toilet.
5. Watch for possible signs in the child's behavior. If you notice that he wants to use the toilet, then take him there. Signs may include:
- Changes in facial expressions.
- Attempts to go to a quiet part of the house.
- Muscular tension.
Positive Reinforcement
- Start by rewarding your child for just sitting on the toilet.
- When the child begins to empty his bowels on the toilet, start rewarding him for it.
- Small rewards that the child receives immediately after the desired behavior work best.
- Give rewards less frequently over time. nine0005
Try not to use food as a reward. Instead, you can reward your child with:
- Sing your favorite song with your child.
- Hugs, tickling, verbal praise.
- Favorite game with a child.
- Stickers that will allow the child to track their progress.
- Time for your favorite pastime.
- Tokens (in the form of stickers, stars or other items) that can then be exchanged for very large rewards, such as a trip to the cinema or to the park. nine0005
Many children with autism have special interests. They can be used when planning rewards. For example, if a child is interested in cars, then as a reward, he can look at car magazines. If a child loves trains, then he can receive stickers with trains as a reward.
Positive rewards lead to the desired changes in behavior much faster than any punishment or criticism.
If the child is dirty
- Say something like "I noticed that you are dirty" or "Please change." nine0005
- Help the child to do this as needed.
— Do not scold the child and do not draw attention to what has happened.
If the child does not want to sit on the toilet
- Try to get the child as close to the toilet as possible when he begins to have a bowel movement. If the child does it in diapers while standing, then try to have him do it while standing in the toilet.
- When the child has defecated in the diaper, throw the contents of the diaper down the toilet in front of the child. nine0005
- Teach your child to sit on the toilet with their clothes down. Give your child a toy that can keep him busy for a while.
- Over time, move on to having the child sit on the toilet with the lid up but in a diaper.
- When the baby is comfortable sitting on the toilet with the lid up, cut a hole in the diaper and enlarge it over time. Try to have the child sit on the toilet in a diaper while having a bowel movement. nine0005
Specialist help
Very often it is difficult for a family to change what happens at home. Toilet training can be a very complex behavioral problem. Some families need additional specialist support. Signs that the family needs more help include:
- The child becomes very upset when they take him to the toilet.
- Child holds stool longer.
— Constipation progresses in the child.
— Everything related to the toilet causes tantrums or aggression in the child. nine0005
Specialists may include child psychologist, behavioral analyst, pediatrician. Sometimes staff at the child care facility that the child attends can help find the right specialist.
Daily preparations
— May be started immediately if the child does not have severe constipation.
- Taken orally.
- Most effective when taken daily.
Purpose of taking the drug:
- Soft stools and bowel movements every day. nine0005
- All stool comes out of the bowels.
Dosage of the drug:
- The initial dose of the drug must be prescribed by a doctor. Sometimes the dosage needs to be varied. Talk to your doctor about this, he will help you change the dosage.
When it is necessary to increase the dosage of the drug:
- Small and hard stools.
- The child does not have a bowel movement every day.
- The child has difficulty emptying the bowels or is in pain.
When to reduce the dosage of the drug:
- Loose stools.
— The child has abdominal pain or cramps.
Duration of drug treatment
— As a rule, the course of treatment lasts at least 6 months.
— After 6 months of daily bowel movements, the doctor may decide to gradually reduce the dosage of the drug.
- If you stop taking the drug before the intestines return to normal, then constipation will begin again.
— It is important to make sure that the child has soft stools every day. nine0005
How do drugs to treat constipation work?
There are three types of laxatives. They act differently.
1. Osmotic laxatives. They carry water into the stool to keep it soft. Safe and often given to children. Usually taken every day. Suitable for long term use.
Examples: polyethylene glycol without electrolytes, magnesium hydroxide, magnesium citrate, lactulose, sorbitol.
2. Stimulant laxatives. nine0010 They promote contractions of the intestinal muscles and promote stool in the intestines. As a rule, they are prescribed for a single dose.
Examples: senna, bisacodyl.
3. Lubricating laxatives. Facilitate the passage of stool through the intestines with an oil base.
Examples: paraffin oil, glycerin suppositories.
Acute constipation medicines
Acute constipation occurs when large masses of hard stool block the intestines. If the doctor thinks that there is a blockage in the intestines, then as a first treatment option, he may prescribe a drug that will "cleanse" the intestines. nine0005
Your doctor will work with you to determine the best type of drug. Sometimes drugs that are taken by mouth are best. Sometimes drugs that are injected into the intestines are better suited. This "clearing" usually takes 2-3 days. It is best to spend it on the weekend or on vacation. The child will need to spend 2-3 days near the toilet and use it often.
These drugs can only be prescribed by a doctor. He will tell you how long and how often to take the drug. nine0005
Enema procedure
Most cases of constipation in children are treated with drugs taken by mouth. In some cases, children need a drug that is injected into the rectum. Talk to your doctor about what treatment is best for your child. Do not give your child an enema without talking to the doctor first. Below is information about giving an enema if needed.
How to prepare a child for an enema
- Explain the procedure to the child in a way that the child can understand, perhaps with illustrations.
- Let the child look at and touch the enema bottle.
- Touch the tip of the enema to his hand so he knows what it's like.
- Help your child practice in advance how to lie down properly during an enema.
Enema Preparation
— Read the instructions for the enema very carefully. Check out the pictures and instructions in the instructions. nine0005
- Make sure the enema is at room temperature.
- Prepare everything you need: an enema bottle; towel on which the child will lie; pillows; music, a favorite toy, or other items to help your child stay calm; wet cleansing wipes.
- Decide where you will give the enema. Sometimes it's best to put the baby on a blanket or large towel on the bathroom floor next to the toilet.
- Place towels and/or pillows for your child to lie down comfortably. nine0005
- Have another person stand at eye level with the child during the procedure - read to him, sing, talk, play music or otherwise distract him and help him lie still.
How to give an enema
1. Wash your hands.
2. Remove the protective cap from the enema tip. The tip should have a lubricant that makes it easier to administer the enema.
3. Help the child lie on his left side with his knees pressed against his chest.
4. Have your helper talk or sing to your child in an effort to soothe and encourage. nine0005
5. Hold the enema in one hand. With your other hand, spread your buttocks until you see the anus.
5. Insert the end of the bottle very carefully into the anus. Don't force it in.
6. Position the end of the enema towards the child's back. The contents of the enema should fall on the intestinal wall, and not on the stool.
7. Squeeze the enema until nearly the entire volume has been delivered.
8. If possible, try to have the child lie down for 15-20 minutes. You can hold on to his buttocks to prevent him from pushing out the contents of the enema too soon. nine0005
9. If your child wears diapers, put on a diaper.
10. If the child uses the toilet, put him on the toilet after 15-20 minutes. The liquid should go down the toilet along with the stool.
If at any stage the child becomes very upset, starts crying, screaming, kicking, then it is normal to stop the procedure. Talk to your doctor about other treatments for constipation.
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